Jennifer Lynne Detisch, NP Valid NPI

Individual provider · Family Nurse Practitioner · Vista, CA

NPI

1730215534

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

16773 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2007-02-26

Last updated

2021-11-30